Provider Demographics
NPI:1770694473
Name:MATTEI-WELCH, SOLIMAR (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:SOLIMAR
Middle Name:
Last Name:MATTEI-WELCH
Suffix:
Gender:
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 W HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-7646
Mailing Address - Country:US
Mailing Address - Phone:321-512-0717
Mailing Address - Fax:
Practice Address - Street 1:409 W HOLLY DR
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7646
Practice Address - Country:US
Practice Address - Phone:321-512-0717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010838771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical